Household Long-Lasting Insecticide Nets (LLINs) Ownership, Use, and Perceptions among a Community Living in the Malaria Epidemic Zone of Nandi County, Kenya
Abstract
Background: Malaria remains a major public health challenge worldwide with most malaria illnesses and deaths being caused by Plasmodium falciparum. Mass distribution of long-lasting insecticide nets (LLINs) has been prioritised as a critical control measure for malaria in endemic countries. Methods: A cross-sectional study was carried out to determine household LLINs ownership, use, and perceptions in a malaria epidemic zone of Nandi County, Kenya. A structured questionnaire was administered by trained interviewers to selected households in the area after obtaining consent from the household heads. Results: A total of 383 households were included in the study. Of the 383 households, 95% (95% CI: 92.9-97.2%) had at least one-bed net in use with each household having an average of 3-bed nets. Of these, 99.5% (95% CI: 98.1-99.7%) were hanged at the sleeping place. 79.5% (95% CI: 75.1-83.3%) of the hanged nets were in good condition (no holes), while 17.1% (95% CI: 13.3-20.9%) had holes. The majority of the LLINs were obtained from the mass net distribution either at home 31.7% (95% CI: 27.4-36.3%) or at the health facility 63.2% (95% CI: 58.5-67.8%). Conclusion: The study recorded a high level of household LLINs ownership and the use in the community, which points to the success of the free mass net distribution campaign in the area
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World Malaria Report 2016. The report gives great highlights of the current malaria burden and the situation in malaria prevention and control.
S. A. Fana, M. D. A. Bunza, S. A. Anka, A. U. Imam, and S. U. Nataala, “Prevalence and risk factors associated with malaria infection among pregnant women in a semi-urban community of north-western Nigeria,” Infect. Dis. Poverty, vol. 4, no. 1, p. 24, 2015.
World Health Organization (WHO). World Malaria Report 2015. 20 Avenue Appia, 1211 Geneva 27, Switzerland: 2015.
World Health Organization. World Malaria Report. Geneva: World Health Organization; 2019.
National Malaria Control Programme (NMCP), Kenya National Bureau of Statistics (KNBS) and I, International. Kenya Malaria Indicator Survey 2015. Nairobi, Kenya, and Rockville, Maryland, USA: NMCP, KNBS, and ICF International: 2016.
G. Zhou et al., “Changing patterns of malaria epidemiology between 2002 and 2010 in western Kenya: The fall and rise of malaria,” PLoS One, vol. 6, no. 5, p. e20318, 2011.
G. Zhou, J. S. Li, E. N. Ototo, H. E. Atieli, A. K. Githeko, and G. Yan, “Evaluation of universal coverage of insecticide-treated nets in western Kenya: field surveys,” Malar. J., vol. 13, no. 1, p. 351, 2014
L. E. G. Mboera, E. H. Shayo, K. P. Senkoro, S. F. Rumisha, M. R. S. Mlozi, and B. K. Mayala, “Knowledge, perceptions and practices of farming communities on linkages between malaria and agriculture in Mvomero District, Tanzania,” Acta Trop., vol. 113, no. 2, pp. 139–144, 2010.
I. M. Quive, B. Candrinho, and D. Geelhoed, “Household survey of availability of long-lasting insecticide-treated nets and its determinants in rural Mozambique,” Malar. J., vol. 14, no. 1, p. 304, 2015.
L. D. Sena, W. A. Deressa, and A. A. Ali, “Predictors of long-lasting insecticide-treated bed net ownership and utilisation: evidence from community-based cross-sectional comparative study, Southwest Ethiopia,” Malar. J., vol. 12, no. 1, p. 406, 2013.
World Health Organization. World Malaria Report. Geneva: World Health Organization; 2019.
H. Iwashita, G. Dida, K. Futami, G. Sonye, S. Kaneko, M. Horio, et al. “Sleeping arrangement and house structure affect bed net use in villages along Lake Victoria,” Malar J. vol. 9, no. 1, p. 176. 2010. https://doi.org/10.1186/1475-2875-9-176.
H. E. Atieli et al., “Insecticide-treated net (ITN) ownership, usage, and malaria transmission in the highlands of western Kenya,” Parasit. Vectors, vol. 4, no. 1, p. 113, 2011. https://doi.org/10.1186/1756-3305-4-113.
M. W. Hetzel, G. Gideon, N. Lote, L. Makita, P. M. Siba, and I. Mueller I. Ownership andusage of mosquito nets after four years of large-scale free distribution in Papua New Guinea. Malar J. vol. 11, no. 1, p. 192. 2012. https://doi.org/10.1186/1475-2875-11-192.
J. M. Miller, E. L. Korenromp, B. L. Nahlen, and R. W Steketee, “Estimating the number of insecticide-treated nets required by African households to reach continent-wide malaria coverage targets,” JAMA, vol. 297, no. 20, pp. 2241–2250, 2007.Miller JM, Korenromp EL, Nahlen BL, Steketee RW: Estimating the number of insecticide-treated nets required by African households to reach continent-wide malaria coverage targets. Jama 2007, 297:2241-2250.
A. M. Finlay et al., “Free mass distribution of long-lasting insecticidal nets lead to high levels of LLIN access and use in Madagascar, 2010: A cross-sectional observational study,” PLoS One, vol. 12, no. 8, p. e0183936, 2017. https://doi.org/10.1371/journal.pone.0183936
WHO: Methods for achieving universal coverage with long-lasting insecticidal nets in malaria control. In Report to MPAC September 2013, Geneva. 2013. http://www.who.int/malaria/mpac/mpac_sp13_vcteg_universal_llin_coverage_report.pdf.
Kenya National Bureau of Statistics (KNBS), 2009 Population and Housing Census, KNBS, Nairobi, Kenya, 2012.
Y. E. Himeidan and E. J. Kweka, “Malaria in East African highlands during the past 30 years: impact of environmental changes,” Front. Physiol., vol. 3, p. 315, 2012.
J. K. Choge et al., “Symptomatic malaria diagnosis overestimate malaria prevalence, but underestimate anaemia burdens in children: results of a follow up study in Kenya,” BMC Public Health, vol. 14, no. 1, p. 332, 2014. https://doi.org/10.1186/1471-2458-14-332
KNBS. Kenya population and housing census. Nairobi: Kenya National Bureau of Statistics; 2018.
Kenya Malaria Indicator Survey 2010: https://dhsprogram.com/pubs/pdf/MIS7/MIS7.pdf
A. C. Fisher, “A study of the schistosomiasis of the Stanleyville district of the Belgian congo,” Trans. R. Soc. Trop. Med. Hyg., vol. 28, no. 3, pp. 277–306, 1934
S. Githinji, S. Herbst, T. Kistemann, and A. M. Noor, “Mosquito nets in a rural area of Western Kenya: ownership, use and quality,” Malar. J., vol. 9, no. 1, p. 250, 2010.
S. A. Aderibigbe et al., “Ownership and utilisation of long lasting insecticide treated nets following free distribution campaign in South West Nigeria,” Pan Afr. Med. J., vol. 17, p. 263, 2014. https://doi.org/10.11604/pamj.2014.17.263.3927
K. Wangdi, M. L. Gatton, G. C. Kelly, and A. C. A. Clements, “Prevalence of asymptomatic malaria and bed net ownership and use in Bhutan, 2013: a country earmarked for malaria elimination,” Malar. J., vol. 13, no. 1, p. 352, 2014.
A. Woyessa, W. Deressa, A. Ali, and B. Lindtjørn, “Ownership and use of long-lasting insecticidal nets for malaria prevention in Butajira area, south-central Ethiopia: complex samples data analysis,” BMC Public Health, vol. 14, no. 1, p. 99, 2014.27.
W. Deressa, G. Fentie, S. Girma, and R. Reithinger, “Ownership and use of insecticide-treated nets in Oromia and Amhara regional states of Ethiopia two years after a nationwide campaign: ITN ownership and use in Ethiopia,” Trop. Med. Int. Health, vol. 16, no. 12, pp. 1552–1561, 2011.
WHO: World Malaria Report 2013. Geneva: World Health Organization. https://www.who.int/iris/bitstream/10665/97008/1/9789241564694_eng.pdf
M. N. Bayoh et al., “Persistently high estimates of late night, indoor exposure to malaria vectors despite high coverage of insecticide treated nets,” Parasit. Vectors, vol. 7, no. 1, p. 380, 2014. https://doi.org/10.1186/1756-3305-7-380
M. Fettene, M. Balkew, and C. Gimblet, “Utilisation, retention and bio-efficacy studies of PermaNet in selected villages in Buie and Fentalie districts of Ethiopia,” Malar. J., vol. 8, no. 1, p. 114, 2009
S. E.-D. H. Hassan, E. M. Malik, S. I. Okoued, and E. M. Eltayeb, “Retention and efficacy of long-lasting insecticide-treated nets distributed in eastern Sudan: a two-step community-based study,” Malar. J., vol. 7, no. 1, p. 85, 2008.
P. A. West et al., “Evaluation of a national universal coverage campaign of long-lasting insecticidal nets in a rural district in north-west Tanzania,” Malar. J., vol. 11, no. 1, p. 273, 2012.
A. Hightower et al., “Bed net ownership in Kenya: the impact of 3.4 million free bed nets,” Malar. J., vol. 9, no. 1, p. 183, 2010.
J.-W. Xu, Y.-M. Liao, H. Liu, R.-H. Nie, and J. Havumaki, “Use of bed nets and factors that influence bed net use among Jinuo Ethnic Minority in southern China,” PLoS One, vol. 9, no. 7, p. e103780, 2014. https://doi.org/10.1371/journal.pone.0103780
S. C. Smith, U. B. Joshi, T. Nobiya, T. Aapore, M. Grabowsky, and J. Selanikio, “Evaluation of bednets after 38 months of household use in northwest Ghana,” Am. J. Trop. Med. Hyg., vol. 77, no. 6_Suppl, pp. 243–248, 2007.
C. A. Baume, R. Reithinger, and S. Woldehanna, “Factors associated with use and non-use of mosquito nets owned in Oromia and Amhara regional states, Ethiopia,” Malar. J., vol. 8, no. 1, p. 264, 2009.
C. Njumkeng et al., “Coverage and usage of insecticide treated nets (ITNs) within households: associated factors and effect on the prevalance of malaria parasitemia in the Mount Cameroon area,” BMC Public Health, vol. 19, no. 1, p. 1216, 2019. https://doi.org/10.1186/s12889-019-7555-x
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